Analysis of septic morbidity following gunshot wounds to the colon: the missile is an adjuvant for abscess.

@article{Poret1991AnalysisOS,
  title={Analysis of septic morbidity following gunshot wounds to the colon: the missile is an adjuvant for abscess.},
  author={H A Poret and Timothy C. Fabian and Martin a. Croce and Raymond P Bynoe and Kenneth A. Kudsk},
  journal={The Journal of trauma},
  year={1991},
  volume={31 8},
  pages={1088-94; discussion 1094-5}
}
Over a 7-year period, 151 patients with gunshot wounds to the colon surviving beyond 24 hours were managed. The bullet was retained in the body in 66% and exited in 34%. Thirty-four (23%) developed major septic complications (diffuse peritonitis, 21%; intraperitoneal abscesses 24%; and extraperitoneal abdominal abscesses, 56%). The septic complication rate was 26% in the bullet-present group compared with 16% in the remainder (p less than 0.15). The increased septic rate in those with bullets… CONTINUE READING

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